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NCLEX-PN Exam Questions - Part 130
1. A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?
A) Provide a safe environment free of obstructions in the immediate area
B) Call a code
C) Contact the patient - s physician
D) Prevent excessive movement of the extremities
2. A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
A) Bradycardia
B) Increased pupil size bilaterally
C) Change in LOC
D) Vomiting
3. The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?
A) Nausea
B) Anorexia
C) Rapid weight gain
D) SOB (shortness of breath)
4. A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
A) Lower extremity edema
B) Sensory changes in the upper extremities
C) Increased occurrence of fractures
D) Decreased peripheral blood flow
5. A 24 year-old man has been admitted to the hospital due to work-related back injury. The patient - s wife would like to see the patient - s chart. The nurse should:
A) Provide the chart to the patient - s wife following verbal approval by the patient.
B) Provide the chart to the patient - s wife after consulting with the patient - s physician.
C) Get written approval from the patient prior to providing the wife with chart information and call the MD about the patient - s request.
D) Tell the patient - wife, a copy of the patient - s medical record is on-file with medical records.
A) Provide a safe environment free of obstructions in the immediate area
B) Call a code
C) Contact the patient - s physician
D) Prevent excessive movement of the extremities
2. A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
A) Bradycardia
B) Increased pupil size bilaterally
C) Change in LOC
D) Vomiting
3. The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?
A) Nausea
B) Anorexia
C) Rapid weight gain
D) SOB (shortness of breath)
4. A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
A) Lower extremity edema
B) Sensory changes in the upper extremities
C) Increased occurrence of fractures
D) Decreased peripheral blood flow
5. A 24 year-old man has been admitted to the hospital due to work-related back injury. The patient - s wife would like to see the patient - s chart. The nurse should:
A) Provide the chart to the patient - s wife following verbal approval by the patient.
B) Provide the chart to the patient - s wife after consulting with the patient - s physician.
C) Get written approval from the patient prior to providing the wife with chart information and call the MD about the patient - s request.
D) Tell the patient - wife, a copy of the patient - s medical record is on-file with medical records.
1. Right Answer: A
Explanation: Patient safety should be the top concern about this patient.
2. Right Answer: B
Explanation: Unilateral pupil changes indicate changes in ICP.
3. Right Answer: D
Explanation: Left sided heart failure exhibits signs of pulmonary compromise (SOB).
4. Right Answer: A
Explanation: Edema in the lower extremities may indicate a Premarin (over-dosage).
5. Right Answer: C
Explanation: Some facilities require the physician to be notified about a patients request and written permission from the husband is required for the wife to view the chart.
Explanation: Patient safety should be the top concern about this patient.
2. Right Answer: B
Explanation: Unilateral pupil changes indicate changes in ICP.
3. Right Answer: D
Explanation: Left sided heart failure exhibits signs of pulmonary compromise (SOB).
4. Right Answer: A
Explanation: Edema in the lower extremities may indicate a Premarin (over-dosage).
5. Right Answer: C
Explanation: Some facilities require the physician to be notified about a patients request and written permission from the husband is required for the wife to view the chart.
80% DISCOUNT: SPHR PRACTICE EXAMS
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